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Waiting List
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Yes
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Course Type
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Required
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Location
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Franciscan Skemp Healthcare-Mayo Health System
815 10th St. S
La Crosse, WI 54601
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Instructors
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Karen Cowan, M.D.,
160+ physicians affiliated with Mayo Clinic in Rochester Minnesota
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Availability
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3-4 students/year
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Initial Registration
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Contact Person: Kimberly Markwardt
Email: markwardt.kimberly@mayo.edu
Office phone: (608) 392-9775
Karen Cowan, MD
EMail: cowan.karen@mayo.edu
Phone: (608) 785-0940 X2890
FAX: (608) 791-4168
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To Add
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Place request with Louisa Zelm at the Medical School
Email: zelm@wisc.edu
Phone: (608) 265-9081
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To Drop
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Place request with Louisa Zelm at the Medical School
Email: zelm@wisc.edu
Phone: (608) 265-9081
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Report To
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Contact the lead preceptor or contact person one month prior to your preceptorship starting date. The first day of your rotation (Monday) is for traveling to your preceptorship site to get settled with housing, taking part in any site orientation and at 6 p.m. taking part in a phone orientation in which you will need computer access. You will be informed of the remaining two phone orientations from Dr. Paul Hunter, Course Director. In most cases you will begin clinical work on the second day (Tuesday) of the rotation, however, please check with your site as some students may be on call the first night of your preceptorship. If you have questions about your preceptorship, contact Louisa Zelm at the Medical School by phone: 608-265-9081, or via Email: zelm@wisc.edu. Your background check information and immunization records can be found in OASIS under Academic History/My Med School. It is your responsibility to copy that information and send it to your site coordinator or preceptor via email before your preceptorship starts. At 8:00 a.m. on Tuesday, report to Family Practice Residency, located on the 2nd floor hospital of the Family Health Clinic (815 S. 10th St., LaCrosse, WI 54601).
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Housing
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The hospital provides housing to students at no charge. Linens, bedding, and towels are provided, and there are kitchen and dining facilities. Meals are provided free of charge at Franciscan Skemp Medical Center. Spouses meals are not provided. There is a telephone in each apartment, but long distance calls are the responsibility of the student and may be made with the use of a credit card or on a collect basis. When arriving in La Crosse, you may pick up your apartment keys at the desk in the Emergency Department. A security officer will be called to escort you to the apartment.
FOOD:
Provided in hospital cafeteria or at noon CME meetings.
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Parking
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TRANSPORTATION NEEDS:
None required.
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Objectives
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GOALS AND OBJECTIVES -
Overarching Goals -
Upon completion of the 4th Year Preceptorship, students will:
1. Understand the complexities of a multidisciplinary health care system
2. Develop proficiency in providing patient care in a community setting
3. Apply principles of preventive medicine to clinical care
4. Recognize the impact of health care and reimbursement systems on the delivery of health care
5. Expand upon their personal and professional growth and development
6. Recognize the effect of quality measurement and improvement on clinical decision-making, cost of care, and patient satisfaction
Educational Objectives -
Patient Care (Problem solving and Clinical Skills)
Students are expected to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.
1. Conduct an efficient & effective clinical medicine interview
2. Describe the impact of continuity of care on health care delivery
3. Develop independent assessments and differential diagnoses
4. Negotiate management plans with patients & preceptors
5. Describe the impact of local culture on health care, wellness, the work environment, and the community
6. Provide continuous care and assure effective care transitions for patients as they move through multiple health care settings
7. Describe challenges of chronic disease management in the US healthcare system
Medical Knowledge -
Students are expected to demonstrate knowledge of established and evolving biomedical, clinical and social sciences.
1. Describe the impact of nutrition, physical activity, and weight on physical and mental health
2. Locate ACIP recommendations for immunizations and describe strategies for improving community immunization rates for both children and adults
3. Describe the impact of USPSTF and other professional groups screening recommendations on the clinical practice of your preceptor
Practice Based Learning and Improvement -
Students are expected to investigate and evaluate their patient care practices by appraisal and assimilation of scientific evidence.
1. Describe a local quality improvement initiative at your preceptorship site
Systems Based Practice -
Students are expected to demonstrate an awareness of the larger context and system of health care and effectively call on system resources to provide optimal care.
1. Use and refer patients to appropriate community-based healthcare resources
2. Participate in community health activities
3. Describe your preceptor's relationship to the healthcare system in which (s)he practices
4. Describe the roles of federal, state and private programs that pay for health care within the US healthcare system
5. Describe the relationships between health care financing and health care delivery
6. Identify contemporary healthcare issues and discuss their impact on the practice of medicine
Interpersonal and Communication Skills -
Students are expected to effectively communicate and collaborate with patients, their families and health professionals.
1. Work and communicate with doctors, nurses, therapists, physician assistants, medical assistants, chaplains and other healthcare personnel in a manner that fosters mutual respect and excellence in patient care
Professionalism -
Students are expected to demonstrate a commitment to carrying out professional responsibilities, and to be responsive and compassionate.
1. Conduct yourself in a professional manner
2. Obtain formative feedback and improve communication, history & physical exam skills
3. Identify areas of tension between professional, family, and personal aspects of your life
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Content
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ELECTIVES OFFERED: Anesthesiology, Neurology, Oncology, Psych, ER, Rehab, All surgical subspecialities except cardiac surgery. There are many offerings in primary care. We will try to fulfill student requests for rotations as best we can, but we cannot guarantee availability. Most rotations are one month in length, with a few exceptions. Please fill out the request form and forward to us at least one month in advance of your arrival.
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Prerequisites
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Methods
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Materials Provided
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Expectations
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EMERGENCY ROOM EXPECTATIONS:
The preceptee is expected to spend a minimum of two evenings per week and one weekend per month working in the Emergency Department of Franciscan Skemp Medical Center. This department is staffed by full-time Emergency Medicine Physicians.
ON-CALL EXPECTATIONS:
The preceptee is expected to take call with the preceptor of the elective.
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Evaluating
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A mid-rotation and cumulative evaluation will be completed by the preceptor based on all attendings input involved in the clinical and academic experiences.
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Recommended Texts
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Meets Patient Care Requirement
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